Individual
MS. DEBRA ELLAN SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7 MAIN ST, SUITE #3, MONTPELIER, VT 05602-2870
(802) 223-3803
(802) 223-1940
Mailing address
7 MAIN ST, SUITE #3, MONTPELIER, VT 05602-2870
(802) 223-3803
(802) 223-1940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000031
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006696
—
VT
01
—
61557
MOHAWK VALLEY
VT
01
—
6696
BLUE CROSS/BLUE SHIIELD
VT
Enumeration date
07/18/2006
Last updated
07/08/2007
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